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Radiographic Incidence and Functional Outcomes of Distal Radius Fractures Undergoing Volar Plate Fixation With Concomitant Scapholunate Widening: A Prospective Analysis
Journal article   Open access   Peer reviewed

Radiographic Incidence and Functional Outcomes of Distal Radius Fractures Undergoing Volar Plate Fixation With Concomitant Scapholunate Widening: A Prospective Analysis

William L Wang, Jack Abboudi, Gregory Gallant, Christopher Jones, William Kirkpatrick, Moody Kwok, Frederic Liss, T Robert Takei, Mark Wang and Asif M Ilyas
Hand (New York, N.Y.), v 17(2), pp 326-330
01 Mar 2022
DOI: https://doi.org/10.1177/1558944720918342
PMID: 32463300
url
https://doi.org/10.1177/1558944720918342View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Bone Plates Fracture Fixation, Internal Humans Incidence Radius Fractures - diagnostic imaging Radius Fractures - surgery Wrist Joint - diagnostic imaging Wrist Joint - surgery
Scapholunate (SL) ligament injuries can occur concomitantly with distal radius fractures (DRFs), and the management of acute SL injury in the setting of DRFs remains controversial. The purpose of the study is to identify the radiographic incidence of SL widening in DRF treated with volar plate fixation and to determine the functional outcomes of DRF with concomitant radiographic SL-widening. One hundred and seventeen patients with DRFs, with and without radiographic SL-widening, and treated with volar locked plating, were prospectively enrolled. No SL ligament repairs or reconstructions were performed in any cases. Patients with DRFs with radiographic criteria for SL widening were compared to those without. Patients were evaluated at 3 months and 1 year postoperatively with Quick Disabilities of the Arm, Shoulder, and Hand and Patient-Rated Wrist Evaluation (PRWE) questionnaires. Thirty-one patients (26.5%) were found to have radiographic evidence of SL widening. Patients with concomitant SL widening had less wrist extension at 3 months (52.4 degrees vs 60.8, = .034) and at 1 year (64.5 degrees vs 71.8, = .023). The group with SL widening had greater articular step off at 3 months (0.33 vs 0.06, = .042), but no difference at 1 year (0.11 vs 0.05, = .348). There were no differences in wrist flexion, supination, pronation, volar tilt, radial inclination, radial height, ulnar variance, PRWE scores, and Quick Dash scores at 3 months and 1 year. Radiographic SL-widening is a common finding associated with DRFs undergoing surgical repair. There are similar clinical outcomes between those with untreated SL widening compared to those without an SL widening at 1-year postoperatively.

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
Surgery
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